Individual
KILEY GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 W 18TH ST, COZAD, NE 69130-1110
(308) 672-5148
Mailing address
806 NEWELL ST, COZAD, NE 69130-1943
(308) 672-5148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
469
NE
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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